Bilgi- Información- 信息- المعلومات

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Consult your GP Practice online

Update your Details

Order your Prescriptions

Online Appointment Booking

Patient Participation Group

Friends & Family Test

Download the Practice Leaflet

Patient Feedback - Patient Survey

Online Pre-registration for patients who within our catchment area

Patient Out of Area Registration

Are you a carer?

Village News

Help other people choose our Practice - NHS Choices link

Opening Times

Update your Details

Name*
First Name Last Name
Date of Birth*
Previous Address
New Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Are you a carer for someone?*
- Yes
- No
Are you a veteran?*
- Yes
- No
Previous Phone Number
New Phone Number
Consent for Text Messages
I agree to the practice sending texts for direct patient care
Email
Consent for Emails
I agree to receiving emails from the practice
Smoking Status*
How many per day?*
CAPTCHA
Privacy*
- By using this form you agree with the storage and handling of your data by this website.
Phone
This field is for validation purposes and should be left unchanged.

Are you a carer?

Carer Details
Name
First Name Last Name
Date of Birth
Date Format: MM slash DD slash YYYY
Number
Email
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Details of Person Being Cared For
Name
First Name Last Name
Date of Birth
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
What relation to you is the person being cared for?
Is the person you care for a patient at The Village Practice?
- Yes
- No
Name
This field is for validation purposes and should be left unchanged.

	Very easy	Fairly easy	Not very easy	Very difficult	N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously